Anejaculation is a condition in which a man is unable to ejaculate semen, either during sexual intercourse or through masturbation. Find out the treatment options for this condition.
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Anejaculation is a condition in which a man is unable to ejaculate semen, either during sexual intercourse or through masturbation.
It can cause them to feel less sexual enjoyment and affect their ability to conceive. Some of the main causes of anejaculation include nerve damage and cancer treatments.
Anejaculation can be caused by physical issues such as nerve damage, psychological issues such as performance anxiety, and medical issues such as taking antidepressants.
Healthcare professionals diagnose anejaculation through reviewing medical history, doing a physical examination, and taking additional tests as needed.
Some treatments for anejaculation include behavioral therapy, medications, and surgical intervention.
This guide will delve into the different types of anejaculation, their causes, how they are diagnosed, and the various treatment options available.
According to current research, there are over 12,000 new cases of anejaculation reported yearly.
There are two primary types of anejaculation: situational and total. It's important to distinguish between these two types in order to determine the most appropriate course of treatment.
Situational anejaculation occurs when a man is unable to ejaculate in specific circumstances, but can do so in others.
For example, he may be able to ejaculate during masturbation or have nocturnal emissions, but not ejaculate during sexual intercourse.
Total anejaculation is the complete inability to ejaculate, regardless of the situation or circumstance. This type of anejaculation can be further divided into two subtypes: primary and secondary.
Additionally, total anejaculation can be divided into anorgasmic and orgasmic ejaculation:
According to Dr. Shara Cohen of Cancer Care Parcel, anejaculation can be brought on by a variety of issues, including medication, nerve damage, hormone imbalances, mental health issues, or physical conditions. Understanding the underlying cause is essential for determining the appropriate treatment.
Some men may experience anejaculation due to physical issues, such as:
When there is no organic cause present, a person may be suffering from psychogenic anejaculation. It’s rare a problem in that it only makes 0.4%-0.5% of patients with this condition. Here are some of the potential psychological causes:
Expert Insight: If you think your anejaculation is being caused by Psychological issues, then sex therapist may help.
Certain medications and medical procedures can also cause anejaculation:
To diagnose anejaculation, healthcare professionals will consider the patient's medical history, perform a physical examination, and may request additional tests.
The patient's medical history will provide valuable information about any underlying conditions, medications, and previous surgeries that may be contributing to anejaculation.
A physical examination will help the healthcare professional assess the patient's overall health and identify any abnormalities in the genital area.
Depending on the findings during the medical history and physical examination, the healthcare professional may order further tests such as a post-ejaculatory urinary analysis.
Dr. Cohen notes that a few treatments that could be recommended include medication, counseling, electroejaculation, and sperm retrieval. Here are some options to consider.
For cases of anejaculation caused by psychological factors, behavioral therapy may be recommended. This can involve:
If anejaculation is caused by a medication, the healthcare professional may suggest adjusting the dosage or switching to a different medication. In some cases, medications such as pseudoephedrine, midodrine, or imipramine may be prescribed to help stimulate ejaculation.
For men experiencing anejaculation due to physical issues, assisted reproductive techniques (ART) can be used to help achieve pregnancy. Some common ART methods include:
In some cases, surgical intervention may be necessary to address an underlying issue contributing to anejaculation. One example of a surgical treatment is microsurgical denervation. It’s a procedure to sever the nerves responsible for ejaculation, which can help men with primary anejaculation.
A doctor may also recommend surgery if anejaculation is caused by a blockage due to scar tissue or an infection. Dr. Cohen notes that it’s important to seek treatment for anejaculation, as it may lead to infertility, sexual dysfunction, and other health problems.Takeaways
Anejaculation is a complex condition that can have a significant impact on a man's quality of life and fertility.
Knowing the different types, causes, and treatment options, men can seek appropriate care and work towards a resolution. Some potential treatments for anejaculation include behavioral therapy and surgical intervention.
It's crucial to consult with a healthcare professional to develop a tailored treatment plan based on the specific cause of the condition. With the right support and treatment, many men can overcome anejaculation and achieve a satisfying sexual life.
Dr Shara Cohen (PhD, CBiol, FWIF, FRCPath, FIBMS, FRSB) has been a research scientist and lecturer with over 100 peer-reviewed scientific publications. She also has business expertise and sold her first company (which dealt with science communication), in 2016. She now works with and establishes businesses and charities which benefit local, national and international communities where she continues to share her biomedical science expertise.
Absorption Pharmaceuticals LLC (Promescent) has strict informational citing guidelines and relies on peer-reviewed studies, academic or research institutions, medical associations, and medical experts. We attempt to use primary sources and refrain from using tertiary references and only citing trustworthy sources. Each article is reviewed, written, and updated by Medical Professionals or authoritative Experts in a specific, related field of practice. You can find out more about how we ensure our content is accurate and current by reading our editorial policy.
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Gopalakrishnan R, Thangadurai P, Kuruvilla A, Jacob KS. Situational psychogenic anejaculation: a case study. Indian J Psychol Med. 2014 Jul;36(3):329-31. doi: 10.4103/0253-7176.135393. PMID: 25035564; PMCID: PMC4100426. Accessed on May, 5, 2023.
Cong R, Zhang Q, Wang Y, Meng X, Wang Z, Song N. Two cases of psychogenic anejaculation patients got normal ejaculation ability after penile vibratory stimulation or electroejaculation. Transl Androl Urol. 2019 Dec;8(6):758-761. doi: 10.21037/tau.2019.10.11. PMID: 32038973; PMCID: PMC6987610. Accessed on May, 5, 2023.
"Mums in Science - Mums in Science." Mumsinscience.org, 2023, https://mumsinscience.org/. Accessed on Jul, 12, 2023.
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